Individual provider Active NPI

Leslie K Heredia, NP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1104364090
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22308 Issued in TN
Practice address
4435 Valley View Dr Ste 102
Knoxville, TN 37917-1300
Phone
(865) 544-6244
Fax
(865) 523-9069
NPI assigned
Feb 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22308 TN Primary

Addresses

Primary practice location

4435 Valley View Dr Ste 102
Knoxville, TN 37917-1300

Mailing address

9000 Executive Park Dr Ste C200
Knoxville, TN 37923-4644
Phone (865) 670-6700

Other practice location 1

1924 Alcoa Hwy # U56
Knoxville, TN 37920-1511
Phone (865) 305-9081

Other names 1

  • Leslie K Garrett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170620001078 TN Practitioner - Nurse Practitioner 3577831346 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHCG Cxxxii, LLCGroup PAC ID 0547518557, 6 clinicians

Practice addresses (Care Compare)

4435 Valley View Dr
Suite 102
Knoxville, TN 37917-1300
Phone (865) 544-6244

Merit-based Incentive Payment System (MIPS)

Final score
62.21 of 100Reported as group
Quality
79.66
Promoting interoperability
0
Improvement activities
20
Cost
69.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LHCG Cxxxii, LLC CurrentSince Jul 14, 2025 Accepting new patients
University Health System, Inc Family CurrentSince Apr 1, 2017 Accepting new patients
University Health System Inc CurrentSince Apr 1, 2017 Accepting new patients
Allergy Specialists of Knoxville PLLC CurrentSince Apr 7, 2022 Accepting new patients
Ut Urgent Care Centers LLC CurrentSince Nov 21, 2022 Accepting new patients
Integrated Wound Care Tennessee PLLC CurrentSince May 24, 2024 Accepting new patients
University Health System, Inc Current Accepting new patients
Healogics Specialty Physicians of Tennessee, PLLC CurrentSince Apr 15, 2024 Accepting new patients
Knoxville Hma Physician Management, LLC Family PastSince Apr 15, 2024 Accepting new patients

Locations

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

2253 Chambliss Ave NW
Ste 101
Cleveland, TN 37311
Phone (423) 473-7475

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

10810 Parkside Dr
Ste G10
Knoxville, TN 37934
Phone (865) 218-7525

4435 Valley View Dr
Ste 102
Knoxville, TN 37917
Phone (865) 544-6244

1924 Alcoa Hwy
#56
Knoxville, TN 37920
Phone (865) 305-9081

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1924 Alcoa Hwy
#U56
Knoxville, TN 37920
Phone (865) 305-9081

1346 Dowell Springs Blvd
Knoxville, TN 37909
Phone (865) 588-2753

10810 Parkside Dr
#G10
Knoxville, TN 37934

141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2020

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1104364090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 EXECUTIVE PARK DR STE C200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234644",
            "telephone_number": "865-670-6700",
            "fax_number": "865-305-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 VALLEY VIEW DR STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171300",
            "telephone_number": "865-544-6244",
            "fax_number": "865-523-9069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1924 Alcoa Hwy # U56",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201511",
            "country_code": "US",
            "telephone_number": "865-305-9081",
            "fax_number": "865-305-8769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEREDIA",
        "first_name": "LESLIE",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "GARRETT",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.